# INCHARGECLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JILL MARIE MARSHALL-ALLEN, Jill Marie Marshall-Allen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093448102
- **Authorized official:** JILL MARIE MARSHALL-ALLEN APRN CARN-AP CWS (OWNER INDIVIDUAL PROVIDER)
- **Authorized official phone:** (813) 955-9734

## Contact information

- **Practice address:** 189 EXUMA WAY, \#413, SANTA ROSA BEACH, FL 32459
- **Practice address phone:** (813) 548-6773
- **Practice address fax:** (813) 730-5230
- **Mailing address:** 11806 BRUCE B DOWNS BLVD \# 1272, MAIL ONLY INCHARGECLINIC, TAMPA, FL 33612-5542
- **Mailing address phone:** (813) 548-6773
- **Mailing address fax:** (813) 730-5230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 173000000X | Legal Medicine | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2022
- **Last updated:** 08/26/2026